Individual
ANGELA WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 N 21ST ST, MIDDLESBORO, KY 40965-1375
(606) 248-2862
(606) 248-2876
Mailing address
PO BOX 158, MANCHESTER SQUARE SHOPPING CTR. ROOM 212, MANCHESTER, KY 40962-0158
(606) 598-5564
(606) 598-6615
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3461P
KY
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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